Hospital

MINDEN MEDICAL CENTER

Minden, LA · CCN 190144 · Rates published

5,350 distinct procedures filed

17 distinct payers

1,255,158 rate rows

2025-12-04 last MRF observed

Data quality

1,178,115 of 1,255,158 rate rows are consumer-grade (93.9%)

77,043 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	53,676
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	19,411
placeholder amount (≤ $0.02) — excluded from medians	3,346
per-diem day rate — not a per-procedure price	333
exceeds 10× this hospital's gross charge — excluded from medians	277

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/51c6b6d1-0692-4788-ba2b-65a21c495bcb/824625698_MINDEN-MEDICAL-CENTER_standardcharges.zip
Found on page	https://www.yourcareeverywhere.com/content/medhost/your-care-everywhere/pricing-estimator-page.html?facility_id=51c6b6d1-0692-4788-ba2b-65a21c495bcb
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-16
Content fingerprint	c52e652058f67155… · 42,294,005 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other I	5	$237,561.73	$493,840.78	$290,494.58	nat. median $370,174 0.8× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System	5	$1,560.81	$320,482.79	$188,519.29	nat. median $265,286 0.7× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >9	5	$1,560.81	$244,165.44	$143,626.73	nat. median $206,368 0.7× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principa	5	$1,560.81	$242,732.51	$142,783.83	nat. median $202,986 0.7× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagno	5	$1,560.81	$158,405.33	$93,179.61	nat. median $133,176 0.7× median
7 MS_DRG	Lung Transplant	5	$1,560.81	$148,099.17	$87,117.16	nat. median $122,708 0.7× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	5	$67,181.14	$139,023.20	$80,845.49	nat. median $117,303 0.7× median
01904 OTHER	New Technology - Level 50 ($115,001-$130,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $82,736 0.9× median
01908 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $82,736 0.9× median
01901 OTHER	New Technology - Level 49 ($100,001-$115,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $84,819 0.9× median
01585 OTHER	New Technology - Level 48 ($90,001-$100,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $83,741 0.9× median
01905 OTHER	New Technology - Level 51 ($130,001-$145,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $82,736 0.9× median
01902 OTHER	New Technology - Level 49 ($100,001-$115,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $82,736 0.9× median
01599 OTHER	New Technology - Level 48 ($90,001-$100,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $83,741 0.9× median
01906 OTHER	New Technology - Level 51 ($130,001-$145,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $82,736 0.9× median
01907 OTHER	New Technology - Level 52 ($145,001-$160,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $84,819 0.9× median
01903 OTHER	New Technology - Level 50 ($115,001-$130,000)	7	$78,338.99	$235,016.97	$78,338.99	nat. median $84,819 0.9× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System	5	$1,560.81	$129,591.05	$76,230.03	nat. median $108,660 0.7× median
209 MS_DRG	Complex Aortic Arch Procedures	5	$63,273.11	$129,442.38	$76,142.58	nat. median $98,017 0.8× median
01584 OTHER	New Technology - Level 47 ($80,001-$90,000)	7	$74,676.78	$224,030.34	$74,676.78	nat. median $79,660 0.9× median
01598 OTHER	New Technology - Level 47 ($80,001-$90,000)	7	$74,676.78	$224,030.34	$74,676.78	nat. median $79,660 0.9× median
426 MS_DRG	Multiple Level Combined Anterior And Posterior Spi	5	$61,609.49	$126,039.02	$74,140.60	nat. median $98,905 0.7× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	5	$60,787.19	$124,356.76	$73,151.04	nat. median $102,358 0.7× median
0407 OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.5	4	$70,640.87	$120,089.47	$70,640.87	nat. median $69,825 1.0× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	5	$1,560.81	$117,911.42	$69,359.66	nat. median $100,136 0.7× median
215 MS_DRG	Other Heart Assist System Implant	5	$1,560.81	$113,868.77	$66,981.63	nat. median $99,019 0.7× median
01597 OTHER	New Technology - Level 46 ($70,001-$80,000)	7	$65,891.33	$197,673.99	$65,891.33	nat. median $70,289 0.9× median
01583 OTHER	New Technology - Level 46 ($70,001-$80,000)	7	$65,891.33	$197,673.99	$65,891.33	nat. median $70,289 0.9× median
216 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	5	$1,560.81	$111,876.60	$65,809.77	nat. median $93,672 0.7× median
1904 OTHER	Guillain-barr� M <38.50	4	$61,125.29	$103,912.99	$61,125.29	nat. median $120,174 0.5× median
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fu	5	$50,364.47	$103,034.26	$60,608.39	nat. median $82,712 0.7× median
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With	5	$1,560.81	$101,339.43	$59,611.43	nat. median $87,411 0.7× median
850 MS_DRG	Acute Leukemia With Other Procedures	5	$48,407.38	$99,030.49	$58,253.23	nat. median $83,442 0.7× median
1806 OTHER	Major Multiple Trauma With Brain Or Spinal Cord In	4	$57,497.84	$97,746.32	$57,497.84	nat. median $52,047 1.1× median
01582 OTHER	New Technology - Level 45 ($60,001-$70,000)	7	$57,105.88	$171,317.64	$57,105.88	nat. median $60,917 0.9× median
01596 OTHER	New Technology - Level 45 ($60,001-$70,000)	7	$57,105.88	$171,317.64	$57,105.88	nat. median $60,917 0.9× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	5	$1,560.81	$96,404.77	$56,708.69	nat. median $79,312 0.7× median
456 MS_DRG	Spinal Fusion Except Cervical With Spinal Curvatur	5	$1,560.81	$96,101.71	$56,530.42	nat. median $81,118 0.7× median
20 MS_DRG	Intracranial Vascular Procedures With Principal Di	5	$1,560.81	$89,988.00	$52,934.12	nat. median $77,576 0.7× median
05244 OTHER	Level 4 Blood Product Exchange And Related Service	7	$51,959.21	$155,877.63	$51,959.21	nat. median $56,957 0.9× median
0406 OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.5	4	$51,671.53	$87,841.60	$51,671.53	nat. median $50,988 1.0× median
219 MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	5	$1,560.81	$87,809.43	$51,652.61	nat. median $74,915 0.7× median
222 MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	5	$1,560.81	$87,561.27	$51,506.63	nat. median $63,570 0.8× median
233 MS_DRG	Coronary Bypass With Cardiac Catheterization Or Op	5	$1,560.81	$87,430.89	$51,429.94	nat. median $73,807 0.7× median
957 MS_DRG	Other O.r. Procedures For Multiple Significant Tra	5	$1,560.81	$87,141.57	$51,259.75	nat. median $72,138 0.7× median
0404 OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	4	$50,921.31	$86,566.22	$50,921.31	nat. median $3,351 outlier · 15.2×
0505 OTHER	Non-traumatic Spinal Cord Injury M <39.50	4	$50,343.19	$85,677.16	$50,398.33	nat. median $49,057 1.0× median
0106 OTHER	Stroke M <41.50 And A <84.50	4	$48,491.87	$82,555.48	$48,562.05	nat. median $47,269 1.0× median
427 MS_DRG	Multiple Level Combined Anterior And Posterior Spi	5	$40,352.62	$82,552.28	$48,560.17	nat. median $68,090 0.7× median
01595 OTHER	New Technology - Level 44 ($50,001-$60,000)	7	$48,320.43	$144,961.29	$48,320.43	nat. median $51,545 0.9× median

Other procedures at this hospital

Browse this hospital's 5,350 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other I	89	5	—	—	$237,561.73	$493,840.78	$290,494.58	2025-12-04
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System	104	5	—	—	$1,560.81	$320,482.79	$188,519.29	2025-12-04
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >9	104	5	—	—	$1,560.81	$244,165.44	$143,626.73	2025-12-04
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principa	104	5	—	—	$1,560.81	$242,732.51	$142,783.83	2025-12-04
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagno	104	5	—	—	$1,560.81	$158,405.33	$93,179.61	2025-12-04
7	MS_DRG	Lung Transplant	104	5	—	—	$1,560.81	$148,099.17	$87,117.16	2025-12-04
14	MS_DRG	Allogeneic Bone Marrow Transplant	95	5	—	—	$67,181.14	$139,023.20	$80,845.49	2025-12-04
01906	OTHER	New Technology - Level 51 ($130,001-$145,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01599	OTHER	New Technology - Level 48 ($90,001-$100,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01902	OTHER	New Technology - Level 49 ($100,001-$115,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01904	OTHER	New Technology - Level 50 ($115,001-$130,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01908	OTHER	New Technology - Level 52 ($145,001-$160,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01901	OTHER	New Technology - Level 49 ($100,001-$115,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01585	OTHER	New Technology - Level 48 ($90,001-$100,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01907	OTHER	New Technology - Level 52 ($145,001-$160,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01905	OTHER	New Technology - Level 51 ($130,001-$145,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
01903	OTHER	New Technology - Level 50 ($115,001-$130,000)	56	7	—	—	$78,338.99	$235,016.97	$78,338.99	2025-12-04
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System	104	5	—	—	$1,560.81	$129,591.05	$76,230.03	2025-12-04
209	MS_DRG	Complex Aortic Arch Procedures	58	5	—	—	$63,273.11	$129,442.38	$76,142.58	2025-12-04
01584	OTHER	New Technology - Level 47 ($80,001-$90,000)	56	7	—	—	$74,676.78	$224,030.34	$74,676.78	2025-12-04
01598	OTHER	New Technology - Level 47 ($80,001-$90,000)	56	7	—	—	$74,676.78	$224,030.34	$74,676.78	2025-12-04
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spi	79	5	—	—	$61,609.49	$126,039.02	$74,140.60	2025-12-04
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	89	5	—	—	$60,787.19	$124,356.76	$73,151.04	2025-12-04
0407	OTHER	Traumatic Spinal Cord Injury M <24.50 And A >=61.5	54	4	—	—	$70,640.87	$120,089.47	$70,640.87	2025-12-04
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	104	5	—	—	$1,560.81	$117,911.42	$69,359.66	2025-12-04
215	MS_DRG	Other Heart Assist System Implant	104	5	—	—	$1,560.81	$113,868.77	$66,981.63	2025-12-04
01597	OTHER	New Technology - Level 46 ($70,001-$80,000)	56	7	—	—	$65,891.33	$197,673.99	$65,891.33	2025-12-04
01583	OTHER	New Technology - Level 46 ($70,001-$80,000)	56	7	—	—	$65,891.33	$197,673.99	$65,891.33	2025-12-04
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	104	5	—	—	$1,560.81	$111,876.60	$65,809.77	2025-12-04
1904	OTHER	Guillain-barr� M <38.50	54	4	—	—	$61,125.29	$103,912.99	$61,125.29	2025-12-04
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fu	79	5	—	—	$50,364.47	$103,034.26	$60,608.39	2025-12-04
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With	83	5	—	—	$1,560.81	$101,339.43	$59,611.43	2025-12-04
850	MS_DRG	Acute Leukemia With Other Procedures	79	5	—	—	$48,407.38	$99,030.49	$58,253.23	2025-12-04
1806	OTHER	Major Multiple Trauma With Brain Or Spinal Cord In	54	4	—	—	$57,497.84	$97,746.32	$57,497.84	2025-12-04
01582	OTHER	New Technology - Level 45 ($60,001-$70,000)	56	7	—	—	$57,105.88	$171,317.64	$57,105.88	2025-12-04
01596	OTHER	New Technology - Level 45 ($60,001-$70,000)	56	7	—	—	$57,105.88	$171,317.64	$57,105.88	2025-12-04
231	MS_DRG	Coronary Bypass With Ptca With Mcc	104	5	—	—	$1,560.81	$96,404.77	$56,708.69	2025-12-04
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvatur	104	5	—	—	$1,560.81	$96,101.71	$56,530.42	2025-12-04
20	MS_DRG	Intracranial Vascular Procedures With Principal Di	104	5	—	—	$1,560.81	$89,988.00	$52,934.12	2025-12-04
05244	OTHER	Level 4 Blood Product Exchange And Related Service	56	7	—	—	$51,959.21	$155,877.63	$51,959.21	2025-12-04
0406	OTHER	Traumatic Spinal Cord Injury M >=24.50 And M <31.5	54	4	—	—	$51,671.53	$87,841.60	$51,671.53	2025-12-04
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	104	5	—	—	$1,560.81	$87,809.43	$51,652.61	2025-12-04
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	83	5	—	—	$1,560.81	$87,561.27	$51,506.63	2025-12-04
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Op	104	5	—	—	$1,560.81	$87,430.89	$51,429.94	2025-12-04
957	MS_DRG	Other O.r. Procedures For Multiple Significant Tra	104	5	—	—	$1,560.81	$87,141.57	$51,259.75	2025-12-04
0404	OTHER	Traumatic Spinal Cord Injury M <31.50 And A <61.50	54	4	—	—	$50,921.31	$86,566.22	$50,921.31	2025-12-04
0505	OTHER	Non-traumatic Spinal Cord Injury M <39.50	54	4	—	—	$50,343.19	$85,677.16	$50,398.33	2025-12-04
0106	OTHER	Stroke M <41.50 And A <84.50	54	4	—	—	$48,491.87	$82,555.48	$48,562.05	2025-12-04
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spi	79	5	—	—	$40,352.62	$82,552.28	$48,560.17	2025-12-04
01581	OTHER	New Technology - Level 44 ($50,001-$60,000)	56	7	—	—	$48,320.43	$144,961.29	$48,320.43	2025-12-04
01595	OTHER	New Technology - Level 44 ($50,001-$60,000)	56	7	—	—	$48,320.43	$144,961.29	$48,320.43	2025-12-04
10	MS_DRG	Pancreas Transplant	104	5	—	—	$1,560.81	$84,601.50	$48,271.57	2025-12-04
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation	104	5	—	—	$1,560.81	$82,027.36	$48,251.39	2025-12-04
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With H	89	5	—	—	$39,883.05	$84,116.58	$47,995.09	2025-12-04
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	89	5	—	—	$39,859.57	$81,543.62	$47,966.84	2025-12-04
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	83	5	—	—	$1,560.81	$81,072.45	$47,689.68	2025-12-04
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	104	5	—	—	$1,560.81	$79,043.71	$46,496.30	2025-12-04
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsatio	95	5	—	—	$38,448.08	$78,656.02	$46,268.25	2025-12-04
0110	OTHER	Stroke M<22.35 And A<84.5	54	4	—	—	$46,207.80	$78,553.26	$46,207.80	2025-12-04
C1820	CPT	Imp Gen Chrg G04	510	14	$63,999.00	$19,199.70 70% off	$0.06	$99,999.99	$45,499.99	2025-12-04
955	MS_DRG	Craniotomy For Multiple Significant Trauma	104	5	—	—	$1,560.81	$76,977.20	$45,280.71	2025-12-04
0506	OTHER	Non-traumatic Spinal Cord Injury M<23.75	54	4	—	—	$45,106.70	$76,681.39	$45,106.70	2025-12-04
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Card	79	5	—	—	$37,378.13	$76,467.15	$44,980.68	2025-12-04
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With	79	5	—	—	$37,350.74	$76,411.12	$44,947.72	2025-12-04
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	83	5	—	—	$1,560.81	$75,847.31	$44,616.07	2025-12-04
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	104	5	—	—	$1,560.81	$75,195.47	$44,232.63	2025-12-04
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	104	5	—	—	$1,560.81	$75,195.47	$44,232.63	2025-12-04
0205	OTHER	Traumatic Brain Injury M <35.50	54	4	—	—	$44,085.80	$74,945.86	$44,085.80	2025-12-04
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	104	5	—	—	$1,560.81	$74,922.14	$44,071.85	2025-12-04
1705	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord	54	4	—	—	$43,186.87	$74,477.18	$43,810.11	2025-12-04
207	MS_DRG	Respiratory System Diagnosis With Ventilator Suppo	104	5	—	—	$1,560.81	$73,587.56	$43,286.80	2025-12-04
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath	83	5	—	—	$1,560.81	$73,201.03	$43,059.43	2025-12-04
0105	OTHER	Stroke M <41.50 And A >=84.50	54	4	—	—	$42,440.00	$72,582.58	$42,695.64	2025-12-04
1903	OTHER	Guillain-barr� M >=38.50 And M <51.50	54	4	—	—	$41,811.75	$71,335.62	$41,962.13	2025-12-04
0604	OTHER	Neurological M <43.50	54	4	—	—	$41,138.39	$70,739.12	$41,611.25	2025-12-04
0207	OTHER	Traumatic Brain Injury M<22.05	54	4	—	—	$41,542.74	$70,622.65	$41,542.74	2025-12-04
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplem	95	5	—	—	$34,258.30	$70,084.69	$41,226.29	2025-12-04
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	104	5	—	—	$1,560.81	$70,003.50	$41,178.53	2025-12-04
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With	83	5	—	—	$1,560.81	$69,946.33	$41,144.90	2025-12-04
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	104	5	—	—	$1,560.81	$69,332.20	$40,783.65	2025-12-04
0405	OTHER	Traumatic Spinal Cord Injury M >=31.50 And M <41.5	54	4	—	—	$40,495.11	$68,841.68	$40,495.11	2025-12-04
1805	OTHER	Major Multiple Trauma With Brain Or Spinal Cord In	54	4	—	—	$40,486.75	$68,827.47	$40,486.75	2025-12-04
28	MS_DRG	Spinal Procedures With Mcc	104	5	—	—	$1,560.81	$68,711.22	$40,418.37	2025-12-04
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid	89	5	—	—	$33,577.43	$68,691.78	$40,406.93	2025-12-04
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvatur	104	5	—	—	$1,560.81	$68,194.32	$40,114.31	2025-12-04
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrom	104	5	—	—	$1,560.81	$67,970.16	$39,982.45	2025-12-04
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	95	5	—	—	$33,147.55	$67,812.35	$39,889.62	2025-12-04
0305	OTHER	Non-traumatic Brain Injury M <42.50 And A <78.50	54	4	—	—	$39,841.80	$67,731.06	$39,841.80	2025-12-04
01594	OTHER	New Technology - Level 43 ($40,001-$50,000)	56	7	—	—	$39,534.97	$118,604.91	$39,534.97	2025-12-04
01580	OTHER	New Technology - Level 43 ($40,001-$50,000)	56	7	—	—	$39,534.97	$118,604.91	$39,534.97	2025-12-04
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization Wi	104	5	—	—	$1,560.81	$67,113.62	$39,478.60	2025-12-04
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures W	104	5	—	—	$1,560.81	$67,070.15	$39,453.03	2025-12-04
1604	OTHER	Pain Syndrome M <43.50	54	4	—	—	$35,776.58	$66,680.08	$39,223.58	2025-12-04
0704	OTHER	Fracture Of Lower Extremity M <41.50	54	4	—	—	$38,104.10	$66,106.30	$38,886.06	2025-12-04
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fu	79	5	—	—	$32,238.60	$65,952.86	$38,795.80	2025-12-04
2102	OTHER	Burns M <52.50	54	4	—	—	$38,723.99	$65,830.78	$38,723.99	2025-12-04
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Comp	104	5	—	—	$1,560.81	$65,532.00	$38,548.24	2025-12-04
0108	OTHER	Stroke M<26.15 And A>84.5	54	4	—	—	$38,523.49	$65,489.93	$38,523.49	2025-12-04
1004	OTHER	Amputation Lower Extremity M <47.50	54	4	—	—	$38,448.30	$65,362.11	$38,448.30	2025-12-04
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Pro	58	5	—	—	$31,902.08	$65,264.39	$38,390.82	2025-12-04
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For M	104	5	—	—	$1,560.81	$65,179.76	$38,341.04	2025-12-04
1504	OTHER	Pulmonary M <45.50	54	4	—	—	$37,337.17	$64,603.70	$38,002.18	2025-12-04
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spi	79	5	—	—	$31,427.48	$64,293.47	$37,819.69	2025-12-04
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	104	5	—	—	$1,560.81	$64,094.48	$37,702.64	2025-12-04
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of P	89	5	—	—	$28,760.66	$63,655.34	$37,444.32	2025-12-04
1704	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord	54	4	—	—	$37,332.16	$63,464.67	$37,332.16	2025-12-04
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lo	104	5	—	—	$1,560.81	$63,568.38	$37,153.71	2025-12-04
2005	OTHER	Miscellaneous M <46.50 And A <77.50	54	4	—	—	$37,113.28	$63,092.57	$37,113.28	2025-12-04
834	MS_DRG	Acute Leukemia With Mcc	104	5	—	—	$1,560.81	$62,782.78	$36,931.05	2025-12-04
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	104	5	—	—	$1,560.81	$62,560.91	$36,800.54	2025-12-04
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Op	104	5	—	—	$1,560.81	$62,471.71	$36,748.07	2025-12-04
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or	104	5	—	—	$1,560.81	$62,373.37	$36,690.22	2025-12-04
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	95	5	—	—	$30,367.04	$64,046.93	$36,543.57	2025-12-04
1204	OTHER	Osteoarthritis M <49.50 And A <74.50	54	4	—	—	$36,486.70	$62,027.39	$36,486.70	2025-12-04
0504	OTHER	Non-traumatic Spinal Cord Injury M >=39.50 And M <	54	4	—	—	$35,778.25	$61,658.13	$36,269.49	2025-12-04
0304	OTHER	Non-traumatic Brain Injury M <42.50 And A >=78.50	54	4	—	—	$36,125.79	$61,413.84	$36,125.79	2025-12-04
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	104	5	—	—	$1,560.81	$60,986.17	$35,874.22	2025-12-04
1404	OTHER	Cardiac M <45.50	54	4	—	—	$35,474.16	$60,950.84	$35,853.44	2025-12-04
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mc	79	5	—	—	$29,792.94	$60,949.57	$35,852.69	2025-12-04
1304	OTHER	Rheumatoid Other Arthritis M <44.50 And A >=64.50	54	4	—	—	$35,783.27	$60,831.55	$35,783.27	2025-12-04
0904	OTHER	Other Orthopedic M <44.5	54	4	—	—	$35,783.27	$60,831.55	$35,783.27	2025-12-04
21	MS_DRG	Intracranial Vascular Procedures With Principal Di	104	5	—	—	$1,560.81	$60,540.16	$35,611.86	2025-12-04
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	95	5	—	—	$29,494.99	$60,340.03	$35,494.14	2025-12-04
2004	OTHER	Miscellaneous M <46.50 And A >=77.50	54	4	—	—	$34,894.37	$59,857.27	$35,210.16	2025-12-04
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	83	5	—	—	$1,560.81	$59,681.32	$35,106.66	2025-12-04
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	104	5	—	—	$1,560.81	$59,529.22	$35,017.19	2025-12-04
653	MS_DRG	Major Bladder Procedures With Mcc	104	5	—	—	$1,560.81	$59,426.30	$34,956.65	2025-12-04
0109	OTHER	Stroke M>22.35 And M<26.15 And A<84.5	54	4	—	—	$34,849.25	$59,243.72	$34,849.25	2025-12-04
1203	OTHER	Osteoarthritis M <49.50 And A >=74.50	54	4	—	—	$34,794.11	$59,149.98	$34,794.11	2025-12-04
0805	OTHER	Replacement Of Lower-extremity Joint M <42.50	54	4	—	—	$34,441.56	$58,550.65	$34,441.56	2025-12-04
0204	OTHER	Traumatic Brain Injury M >=35.50 And M <49.50	54	4	—	—	$34,416.50	$58,508.05	$34,416.50	2025-12-04
1305	OTHER	Rheumatoid Other Arthritis M <51.50 And A <64.50	54	4	—	—	$34,267.79	$58,255.24	$34,267.79	2025-12-04
0104	OTHER	Stroke M >=41.50 And M <50.50	54	4	—	—	$34,144.15	$58,045.05	$34,144.15	2025-12-04
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Cathete	83	5	—	—	$1,560.81	$57,840.12	$34,023.60	2025-12-04
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Proce	104	5	—	—	$1,560.81	$57,639.97	$33,905.87	2025-12-04
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Cath	83	5	—	—	$1,560.81	$57,416.99	$33,774.70	2025-12-04
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With M	104	5	—	—	$1,560.81	$57,036.15	$33,550.68	2025-12-04
1103	OTHER	Amputation Non-lower Extremity M <52.50	54	4	—	—	$33,479.14	$56,968.51	$33,510.89	2025-12-04
1804	OTHER	Major Multiple Trauma With Brain Or Spinal Cord In	54	4	—	—	$33,393.93	$56,769.68	$33,393.93	2025-12-04
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	104	5	—	—	$1,560.81	$56,578.72	$33,281.60	2025-12-04
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Proced	104	5	—	—	$1,560.81	$56,478.08	$33,222.40	2025-12-04
0603	OTHER	Neurological M >=43.50 And M <52.50	54	4	—	—	$32,937.78	$56,406.10	$33,180.06	2025-12-04
239	MS_DRG	Amputation For Circulatory System Disorders Except	104	5	—	—	$1,560.81	$56,284.80	$33,108.71	2025-12-04
1703	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord	54	4	—	—	$32,730.59	$56,070.91	$32,982.89	2025-12-04
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis Wit	104	5	—	—	$1,560.81	$57,249.53	$32,970.81	2025-12-04
4500395	CDM	Arth Tib/per Stent	272	14	$72,228.00	$21,668.40 70% off	$0.07	$72,228.00	$32,863.74	2025-12-04
4500397	CDM	Athr Fempop Stent	272	14	$72,228.00	$21,668.40 70% off	$0.07	$72,228.00	$32,863.74	2025-12-04
0206	OTHER	Traumatic Brain Injury M>22.05 And M<28.75	54	4	—	—	$32,850.90	$55,846.53	$32,850.90	2025-12-04
0403	OTHER	Traumatic Spinal Cord Injury M >=41.50 And M <47.5	54	4	—	—	$32,613.63	$55,443.17	$32,613.63	2025-12-04
471	MS_DRG	Cervical Spinal Fusion With Mcc	104	5	—	—	$1,560.81	$55,221.25	$32,483.09	2025-12-04
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diag	104	5	—	—	$1,560.81	$54,942.21	$32,318.95	2025-12-04
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplem	95	5	—	—	$26,613.30	$54,444.76	$32,026.33	2025-12-04
0703	OTHER	Fracture Of Lower Extremity M >=41.50 And M <52.50	54	4	—	—	$30,703.83	$54,113.83	$31,831.67	2025-12-04
1603	OTHER	Pain Syndrome M >=43.50 And M <58.50	54	4	—	—	$28,959.45	$53,818.43	$31,657.90	2025-12-04
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	89	5	—	—	$26,281.24	$53,765.45	$31,626.74	2025-12-04
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal D	104	5	—	—	$1,560.81	$53,655.67	$31,562.16	2025-12-04
4020729	CDM	Impella Dev (1 Of 3)	272	14	$69,333.33	$20,799.99 70% off	$0.06	$69,333.33	$31,546.66	2025-12-04
4470576	CDM	Impella Dev (2 Of 3)	272	14	$69,333.33	$20,799.99 70% off	$0.06	$69,333.33	$31,546.66	2025-12-04
4470577	CDM	Impella Dev (3 Of 3)	272	14	$69,333.33	$20,799.99 70% off	$0.06	$69,333.33	$31,546.66	2025-12-04
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentia	104	5	—	—	$1,560.81	$53,495.56	$31,467.98	2025-12-04
0806	OTHER	Replacement Of Lower Extremity Joint M<22.05	54	4	—	—	$31,230.16	$53,091.27	$31,230.16	2025-12-04
6	MS_DRG	Liver Transplant Without Mcc	104	5	—	—	$1,560.81	$53,028.96	$31,193.51	2025-12-04
0107	OTHER	Stroke M>26.15 And M<30.05	54	4	—	—	$31,166.66	$52,983.32	$31,166.66	2025-12-04
0303	OTHER	Non-traumatic Brain Injury M >=42.50 And M <52.50	54	4	—	—	$30,976.18	$52,969.12	$31,158.31	2025-12-04
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	89	5	—	—	$25,817.83	$52,817.40	$31,069.06	2025-12-04
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion With	83	5	—	—	$1,560.81	$52,669.87	$30,982.28	2025-12-04
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	104	5	—	—	$1,560.81	$52,565.80	$30,921.06	2025-12-04
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedu	104	5	—	—	$1,560.81	$52,432.01	$30,842.36	2025-12-04
01593	OTHER	New Technology - Level 42 ($30,001-$40,000)	56	7	—	—	$30,749.52	$92,248.56	$30,749.52	2025-12-04
01579	OTHER	New Technology - Level 42 ($30,001-$40,000)	56	7	—	—	$30,749.52	$92,248.56	$30,749.52	2025-12-04
245	MS_DRG	Aicd Generator Procedures	104	5	—	—	$1,560.81	$52,175.83	$30,691.67	2025-12-04
1503	OTHER	Pulmonary M >=45.50 And M <56.50	54	4	—	—	$30,277.76	$52,168.10	$30,687.12	2025-12-04
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.	104	5	—	—	$1,560.81	$52,019.16	$30,599.51	2025-12-04
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedure	104	5	—	—	$1,560.81	$51,996.30	$30,586.06	2025-12-04
1803	OTHER	Major Multiple Trauma With Brain Or Spinal Cord In	54	4	—	—	$29,193.37	$51,912.47	$30,536.75	2025-12-04
0503	OTHER	Non-traumatic Spinal Cord Injury M >=48.50 And M <	54	4	—	—	$29,731.39	$51,869.85	$30,511.68	2025-12-04
799	MS_DRG	Splenic Procedures With Mcc	104	5	—	—	$1,560.81	$51,792.72	$30,466.31	2025-12-04
163	MS_DRG	Major Chest Procedures With Mcc	104	5	—	—	$1,560.81	$51,254.09	$30,149.47	2025-12-04
31	MS_DRG	Ventricular Shunt Procedures With Mcc	104	5	—	—	$1,560.81	$51,239.22	$30,140.72	2025-12-04
1003	OTHER	Amputation Lower Extremity M >=47.50 And M <55.50	54	4	—	—	$30,032.15	$51,054.65	$30,032.15	2025-12-04
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With M	95	5	—	—	$24,948.01	$51,037.94	$30,022.32	2025-12-04
0903	OTHER	Other Orthopedic M >=44.50 And M <51.50	54	4	—	—	$29,863.39	$50,767.76	$29,863.39	2025-12-04
4500753	CDM	Insertion Ventricular Assist Device	272	14	$65,000.00	$19,500.00 70% off	$0.06	$65,000.00	$29,575.00	2025-12-04
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	104	5	—	—	$1,560.81	$50,236.29	$29,550.76	2025-12-04
2003	OTHER	Miscellaneous M >=46.50 And M <55.50	54	4	—	—	$29,296.96	$50,063.31	$29,449.01	2025-12-04
1403	OTHER	Cardiac M >=45.50 And M <55.50	54	4	—	—	$28,428.11	$49,742.35	$29,260.21	2025-12-04
323	MS_DRG	Coronary Intravascular Lithotripsy With Intralumin	89	5	—	—	$24,190.55	$49,488.36	$29,110.80	2025-12-04
230	MS_DRG	Other Cardiothoracic Procedures Without Cc/mcc	77	5	—	—	$1,560.81	$49,195.60	$28,938.59	2025-12-04
474	MS_DRG	Amputation For Musculoskeletal System And Connecti	104	5	—	—	$1,560.81	$49,093.82	$28,878.72	2025-12-04
0804	OTHER	Replacement Of Lower-extremity Joint M >=42.50 And	54	4	—	—	$28,167.46	$48,819.18	$28,717.17	2025-12-04
140	MS_DRG	Major Head And Neck Procedures With Mcc	89	5	—	—	$23,843.41	$48,778.18	$28,693.05	2025-12-04
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Witho	79	5	—	—	$23,706.45	$48,498.00	$28,528.24	2025-12-04
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsatio	95	5	—	—	$23,608.06	$48,296.72	$28,409.84	2025-12-04
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or	104	5	—	—	$1,560.81	$48,214.39	$28,361.41	2025-12-04
958	MS_DRG	Other O.r. Procedures For Multiple Significant Tra	104	5	—	—	$1,560.81	$48,190.37	$28,347.28	2025-12-04
1303	OTHER	Rheumatoid Other Arthritis M >=44.50 And M <51.50	54	4	—	—	$28,334.55	$48,168.73	$28,334.55	2025-12-04
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	104	5	—	—	$1,560.81	$48,049.71	$28,264.54	2025-12-04
901	MS_DRG	Wound Debridements For Injuries With Mcc	104	5	—	—	$1,560.81	$47,992.53	$28,230.90	2025-12-04
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Wi	104	5	—	—	$1,560.81	$47,903.33	$28,178.43	2025-12-04
05232	OTHER	Level 2 Icd And Similar Procedures	56	7	—	—	$28,167.55	$84,502.65	$28,167.55	2025-12-04
0602	OTHER	Neurological M >=52.50 And M <64.50	54	4	—	—	$27,739.72	$47,870.47	$28,159.10	2025-12-04
4500401	CDM	Atrial/vent Pcemkr Insrt	272	14	$61,751.50	$18,525.45 70% off	$0.06	$61,751.50	$28,096.93	2025-12-04
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvatur	104	5	—	—	$1,560.81	$47,718.06	$28,069.45	2025-12-04
793	MS_DRG	Full Term Neonate With Major Problems	104	5	—	—	$1,560.81	$47,683.75	$28,049.27	2025-12-04
05166	OTHER	Cochlear Implant Procedure	56	7	—	—	$27,944.61	$83,833.83	$27,944.61	2025-12-04
423	MS_DRG	Other Hepatobiliary Or Pancreas O.r. Procedures Wi	104	5	—	—	$1,560.81	$47,493.92	$27,937.60	2025-12-04
1902	OTHER	Guillain-barr� M >=51.50 And M <66.50	54	4	—	—	$27,811.56	$47,279.65	$27,811.56	2025-12-04
1702	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord	54	4	—	—	$27,626.10	$47,185.93	$27,756.43	2025-12-04
273	MS_DRG	Percutaneous And Other Intracardiac Procedures Wit	95	5	—	—	$23,061.91	$47,179.42	$27,752.60	2025-12-04
0203	OTHER	Traumatic Brain Injury M >=49.50 And M <61.50	54	4	—	—	$27,749.74	$47,174.55	$27,749.74	2025-12-04
791	MS_DRG	Prematurity With Major Problems	104	5	—	—	$1,560.81	$46,418.92	$27,305.25	2025-12-04
402	MS_DRG	Single Level Combined Anterior And Posterior Spina	79	5	—	—	$22,474.95	$45,978.64	$27,046.26	2025-12-04
1502	OTHER	Pulmonary M >=56.50 And M <68.50	54	4	—	—	$25,517.47	$45,902.02	$27,001.19	2025-12-04
1102	OTHER	Amputation Non-lower Extremity M >=52.50 And M <58	54	4	—	—	$24,404.67	$45,683.31	$26,872.54	2025-12-04
1202	OTHER	Osteoarthritis M >=49.50 And M <61.50	54	4	—	—	$26,857.50	$45,657.75	$26,857.50	2025-12-04
802	MS_DRG	Other O.r. Procedures Of The Blood And Blood Formi	104	5	—	—	$1,560.81	$45,562.36	$26,801.39	2025-12-04
05465	OTHER	Level 5 Neurostimulator And Related Procedures	56	7	—	—	$26,772.42	$80,317.26	$26,772.42	2025-12-04
0103	OTHER	Stroke M >=50.50 And M <63.50	54	4	—	—	$26,753.91	$45,481.64	$26,753.91	2025-12-04
0502	OTHER	Non-traumatic Spinal Cord Injury M >=53.50 And M <	54	4	—	—	$25,911.79	$45,251.56	$26,618.57	2025-12-04
24	MS_DRG	Craniotomy With Major Device Implant Or Acute Comp	104	5	—	—	$1,560.81	$44,736.69	$26,315.70	2025-12-04
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >9	104	5	—	—	$1,560.81	$45,912.74	$26,196.63	2025-12-04
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	104	5	—	—	$1,560.81	$44,265.51	$26,038.54	2025-12-04
0402	OTHER	Traumatic Spinal Cord Injury M >=47.50 And M <56.5	54	4	—	—	$25,988.65	$44,180.70	$25,988.65	2025-12-04
40	MS_DRG	Peripheral, Cranial Nerve And Other Nervous System	104	5	—	—	$1,560.81	$44,156.87	$25,974.63	2025-12-04
0302	OTHER	Non-traumatic Brain Injury M >=52.50 And M <65.50	54	4	—	—	$25,875.03	$44,021.63	$25,895.08	2025-12-04
0702	OTHER	Fracture Of Lower Extremity M >=52.50 And M <61.50	54	4	—	—	$24,909.27	$44,004.60	$25,885.06	2025-12-04
907	MS_DRG	Other O.r. Procedures For Injuries With Mcc	104	5	—	—	$1,560.81	$43,906.42	$25,827.31	2025-12-04
C9773	CPT	Ivl + Stent W/angioplasty Btk	297	14	$51,534.00	$15,460.20 70% off	$0.05	$51,534.00	$25,767.00	2025-12-04
C9774	CPT	Ivl + Arthrectomy W/angioplasty Btk	297	14	$51,534.00	$15,460.20 70% off	$0.05	$51,534.00	$25,767.00	2025-12-04
C9775	CPT	Ivl + Stent + Arthrectomy W/angio Btk	297	14	$51,534.00	$15,460.20 70% off	$0.05	$51,534.00	$25,767.00	2025-12-04
C9767	CPT	Ivl + Stent + Arthrectomy W/angio Atk	297	14	$51,534.00	$15,460.20 70% off	$0.05	$51,534.00	$25,767.00	2025-12-04
1002	OTHER	Amputation Lower Extremity M >=55.50 And M <64.50	54	4	—	—	$25,529.16	$43,575.69	$25,632.76	2025-12-04
0803	OTHER	Replacement Of Lower-extremity Joint M >=51.50 And	54	4	—	—	$24,997.83	$43,575.69	$25,632.76	2025-12-04
956	MS_DRG	Limb Reattachment, Hip And Femur Procedures For Mu	104	5	—	—	$1,560.81	$43,033.85	$25,314.03	2025-12-04
143	MS_DRG	Other Ear, Nose, Mouth And Throat O.r. Procedures	89	5	—	—	$20,943.83	$42,846.30	$25,203.71	2025-12-04
2101	OTHER	Burns M >=52.50	54	4	—	—	$25,144.86	$42,746.26	$25,144.86	2025-12-04
166	MS_DRG	Other Respiratory System O.r. Procedures With Mcc	104	5	—	—	$1,560.81	$42,744.52	$25,143.84	2025-12-04
518	MS_DRG	Back And Neck Procedures Except Spinal Fusion With	95	5	—	—	$20,891.84	$42,739.95	$25,141.15	2025-12-04
628	MS_DRG	Other Endocrine, Nutritional And Metabolic O.r. Pr	104	5	—	—	$1,560.81	$42,619.86	$25,070.51	2025-12-04
1602	OTHER	Pain Syndrome M >=58.50 And M <65.50	54	4	—	—	$24,949.37	$42,615.60	$25,068.00	2025-12-04
0902	OTHER	Other Orthopedic M >=51.50 And M <63.50	54	4	—	—	$25,007.85	$42,513.34	$25,007.85	2025-12-04
05200	OTHER	Implantation Wireless Pa Pressure Monitor	56	7	—	—	$24,975.57	$74,926.71	$24,975.57	2025-12-04
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	89	5	—	—	$20,715.75	$42,379.72	$24,929.25	2025-12-04
1302	OTHER	Rheumatoid Other Arthritis M >=51.50 And M <62.50	54	4	—	—	$24,905.93	$42,340.08	$24,905.93	2025-12-04
4500424	CDM	Plc Coro Stn Des Sgl	272	14	$54,717.50	$16,415.25 70% off	$0.05	$54,717.50	$24,896.46	2025-12-04
4500412	CDM	Insert/replc Pacemkr Gn Dl	272	14	$54,314.00	$16,294.20 70% off	$0.05	$54,314.00	$24,712.87	2025-12-04
4500425	CDM	Ppm Gen Chg Dual	272	14	$54,314.00	$16,294.20 70% off	$0.05	$54,314.00	$24,712.87	2025-12-04
904	MS_DRG	Skin Grafts For Injuries With Cc/mcc	104	5	—	—	$1,560.81	$42,005.75	$24,709.27	2025-12-04
492	MS_DRG	Lower Extremity And Humerus Procedures Except Hip,	104	5	—	—	$1,560.81	$41,988.60	$24,699.18	2025-12-04
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	83	5	—	—	$1,560.81	$41,831.93	$24,607.02	2025-12-04
2002	OTHER	Miscellaneous M >=55.50 And M <66.50	54	4	—	—	$24,591.81	$41,806.07	$24,591.81	2025-12-04
939	MS_DRG	O.r. Procedures With Diagnoses Of Other Contact Wi	104	5	—	—	$1,560.81	$41,495.70	$24,409.24	2025-12-04
495	MS_DRG	Local Excision And Removal Of Internal Fixation De	104	5	—	—	$1,560.81	$41,463.69	$24,390.41	2025-12-04
332	MS_DRG	Rectal Resection With Mcc	104	5	—	—	$1,560.81	$41,406.50	$24,356.77	2025-12-04
265	MS_DRG	Aicd Lead Procedures	104	5	—	—	$1,560.81	$41,377.91	$24,339.95	2025-12-04
97	MS_DRG	Non-bacterial Infection Of Nervous System Except V	104	5	—	—	$1,560.81	$41,304.73	$24,296.90	2025-12-04
279	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of P	89	5	—	—	$20,160.10	$41,242.96	$24,260.57	2025-12-04
01592	OTHER	New Technology - Level 41 ($25,001-$30,000)	56	7	—	—	$24,160.44	$72,481.32	$24,160.44	2025-12-04
01578	OTHER	New Technology - Level 41 ($25,001-$30,000)	56	7	—	—	$24,160.44	$72,481.32	$24,160.44	2025-12-04
739	MS_DRG	Uterine And Adnexa Procedures For Non-ovarian And	104	5	—	—	$1,560.81	$42,241.33	$24,101.81	2025-12-04
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental	149	5	—	—	$1,491.44	$44,199.20	$24,060.71	2025-12-04
736	MS_DRG	Uterine And Adnexa Procedures For Ovarian Or Adnex	104	5	—	—	$1,560.81	$41,781.87	$24,045.98	2025-12-04
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	104	5	—	—	$1,560.81	$40,836.99	$24,021.76	2025-12-04
4500438	CDM	Ventrculr Pcekr Insert	272	14	$52,764.00	$15,829.20 70% off	$0.05	$52,764.00	$24,007.62	2025-12-04
408	MS_DRG	Biliary Tract Procedures Except Only Cholecystecto	104	5	—	—	$1,560.81	$40,776.38	$23,986.11	2025-12-04
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C.d.	104	5	—	—	$1,560.81	$40,742.08	$23,965.93	2025-12-04
622	MS_DRG	Skin Grafts And Wound Debridement For Endocrine, N	104	5	—	—	$1,560.81	$40,703.18	$23,943.05	2025-12-04
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	95	5	—	—	$19,880.03	$40,670.03	$23,923.55	2025-12-04
1402	OTHER	Cardiac M >=55.50 And M <68.50	54	4	—	—	$23,497.39	$40,652.83	$23,913.43	2025-12-04
1802	OTHER	Major Multiple Trauma With Brain Or Spinal Cord In	54	4	—	—	$23,375.42	$40,405.71	$23,768.07	2025-12-04
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	104	5	—	—	$1,560.81	$40,330.37	$23,723.75	2025-12-04
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous Sy	104	5	—	—	$1,560.81	$40,248.04	$23,675.32	2025-12-04
252	MS_DRG	Other Vascular Procedures With Mcc	104	5	—	—	$1,560.81	$39,892.37	$23,466.10	2025-12-04
616	MS_DRG	Amputation Of Lower Limb For Endocrine, Nutritiona	104	5	—	—	$1,560.81	$41,011.52	$23,460.05	2025-12-04
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	104	5	—	—	$1,560.81	$39,699.11	$23,352.42	2025-12-04
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective	104	5	—	—	$1,560.81	$39,506.98	$23,239.40	2025-12-04
359	MS_DRG	Percutaneous Coronary Atherectomy With Intralumina	58	5	—	—	$19,222.08	$39,324.00	$23,131.77	2025-12-04
987	MS_DRG	Non-extensive O.r. Procedures Unrelated To Princip	104	5	—	—	$1,560.81	$39,207.35	$23,063.15	2025-12-04
0802	OTHER	Replacement Of Lower-extremity Joint M >=57.50 And	54	4	—	—	$22,493.20	$39,150.23	$23,029.55	2025-12-04
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulato	104	5	—	—	$1,560.81	$39,015.23	$22,950.14	2025-12-04
984	MS_DRG	Prostatic O.r. Procedure Unrelated To Principal Di	77	5	—	—	$1,560.81	$39,007.23	$22,945.43	2025-12-04
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	104	5	—	—	$1,560.81	$38,963.76	$22,919.86	2025-12-04
4500426	CDM	Ppm Gen Chg Single	272	14	$50,251.50	$15,075.45 70% off	$0.05	$50,251.50	$22,864.43	2025-12-04
264	MS_DRG	Other Circulatory System O.r. Procedures	104	5	—	—	$1,560.81	$38,203.26	$22,472.51	2025-12-04
1701	OTHER	Major Multiple Trauma Without Brain Or Spinal Cord	54	4	—	—	$22,341.15	$37,979.95	$22,341.15	2025-12-04
0202	OTHER	Traumatic Brain Injury M >=61.50 And M <73.50	54	4	—	—	$22,282.67	$37,880.53	$22,282.67	2025-12-04
411	MS_DRG	Cholecystectomy With C.d.e. With Mcc	104	5	—	—	$1,560.81	$37,776.70	$22,221.59	2025-12-04
0601	OTHER	Neurological M >=64.50	54	4	—	—	$22,200.80	$37,741.36	$22,200.80	2025-12-04
1201	OTHER	Osteoarthritis M >=61.50	54	4	—	—	$22,184.09	$37,712.95	$22,184.09	2025-12-04
37	MS_DRG	Extracranial Procedures With Mcc	104	5	—	—	$1,560.81	$37,648.62	$22,146.25	2025-12-04
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Wit	95	5	—	—	$18,400.89	$37,644.05	$22,143.56	2025-12-04
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replaceme	104	5	—	—	$1,560.81	$37,199.17	$21,881.87	2025-12-04
C1785	CPT	Imp Pacemaker Dual G	736	14	$42,239.50	$12,671.85 70% off	$0.03	$44,433.50	$21,880.06	2025-12-04
1601	OTHER	Pain Syndrome M >=65.50	54	4	—	—	$18,971.01	$37,187.46	$21,874.98	2025-12-04
579	MS_DRG	Other Skin, Subcutaneous Tissue And Breast Procedu	104	5	—	—	$1,560.81	$37,035.65	$21,785.68	2025-12-04
840	MS_DRG	Lymphoma And Non-acute Leukemia With Mcc	104	5	—	—	$1,560.81	$36,994.48	$21,761.46	2025-12-04
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without	79	5	—	—	$18,058.22	$36,943.02	$21,731.19	2025-12-04
652	MS_DRG	Kidney Transplant	104	5	—	—	$1,560.81	$36,932.72	$21,725.13	2025-12-04
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infect	104	5	—	—	$1,560.81	$36,905.28	$21,708.99	2025-12-04
929	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation	104	5	—	—	$1,560.81	$36,833.23	$21,666.61	2025-12-04

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